Abstract
The paper focuses on filial norms and attitudes of older people about the care system of welfare states. It is a further investigation of the OASIS cross national study and examines three questions: First, what do older people in Israel and Germany consider to be the proper balance between the family and the welfare state regarding elder care? Second, what are the responsibilities of the family, the welfare state and other caregivers? Third, in what way do values, filial norms and personal resources relate to actual service use? The empirical data is based on information gathered from respondents living in Israel and Germany, aged 75+. The results of the study indicate that familial help has not been fully replaced by welfare state services. These findings support the complementary perspective. The results also show that most respondents favour a shared responsibility between the welfare state and the family. The findings indicate that familial norms are stable and strong as expressed by elders in both countries. The health situation is the main factor for receiving welfare services and familial help in Israel. In Germany the strong effect of living alone for receipt of welfare services underscores the influence of older adults’ social and personal resources on actual service use. The article discusses the findings referring to the importance of a combined mix of the different sources of help for social policy implications.
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Notes
Oasis (Old Age and Autonomy: The Role of Service Systems and Intergenerational Family Solidarity) was supported by the European Commission, 5th Framework, contract No. QLK-VY-1999-02182
There is no problem of multicollinearity if the filial-obligation index and the family-welfare-orientation index is included in the same model. The correlation between the indeces is below .4.
References
Ayalon, L. (2009). Family and family-like interactions in households with round-the-clock paid foreign carers in Israel. Age and Ageing, 29(6), 671–686.
Brodsky, J., Snoor, Y., & Be’er, S. (eds.) (2011). Elders in Israel: Statistical yearbook 2005. Jerusalem, Israel: Brookdale Institute and ESHEL (Hebrew).
Brodsky, J., Habib, J., & Mizrahi, I. (Eds.) (2000). Long-term care laws in five developed countries. A review. Jerusalem: Informal document of the World Health Organization (WHO)
Cantor, M., & Little, V. (1985). Aging and social care. In R. H. Binstock & E. Shanas (Eds.), Handbook of aging and the social sciences (pp. 745–781). New York: Van Nostrand Reinhold.
Daatland, S. O., & Herlofson, K. (2003a). Norms and Ideals about Elder Care. In A. Lowenstein & J. Ogg (Eds.), OASIS – Old Age and Autonomy: The role of service systems and intergenerational family solidarity (Final report, pp. 127–164). Haifa, Israel: University of Haifa.
Daatland, S. O., & Herlofson, K. (2003b). Families and welfare states: Substitution or Complementarity. In A. Lowenstein & J. Ogg (Eds.), OASIS – Old Age and Autonomy: The role of service systems and intergenerational family solidarity (Final report, pp. 285–308). Haifa, Israel: University of Haifa.
Daatland, S. O., & Lowenstein, A. (2005). Intergenerational solidarity and the family-welfare state balance. European Journal of Ageing, 2(3), 174–182.
Dräther, H., & Holl-Manoharan, N. (2009). Modellrechnungen zum zukünftigen Finanzierungsbedarf der sozialen Pflegeversicherung. In H. Dräther, K. Jacobs, & H. Rothgang (Eds.), Fokus Pflegeversicherung. Nach der Reform ist vor der Reform (pp. 16–40). Berlin: KomPart-Verlag. Focus Long-Term Care.
Edelman, P., & Hughes, S. (1990). The impact of community care on provision of informal care to homebound elderly persons. Journal of gerontology, 45(2), S74–84.
Esping-Andersen, G. (1990). The three worlds of welfare capitalism. Princeton: Princetown University Press.
Esping-Andersen, G. (1999). Social foundations of postindustrial economics. Oxford: Oxford University Press.
Federal Statistical Office. (2009). 12. koordinierte Bevölkerungsvorausberechnung bis 2060. (12th co-ordinated population projection until the year 2060). Wiesbaden: Federal Statistical Office.
Federal Statistic Office (2012). Bevölkerung nach Altersgruppen, Familenstand und Religionszugehörigkeit. Statisches Bundesamt. Wiesbaden (Available at https://www.destatis.de/DE/ZahlenFakten/GesellschaftStaat/Bevoelkerung/Bevoelkerungsstand/Tabellen/AltersgruppenFamilienstand.html?nn=50732)
Grünheid, E. (2006). Die Demographische Lage in Deutschland 2006 . Bundesinstitut für Bevölkerungsforschung. Wiesbaden (http://www.bib-demographie.de/info/demolage 2006.pdf)
Katan, J., & Lowenstein, A. (2001). Basing welfare services in a legal infrastructure—implications of the long-term care insurance law. Gerontology, 27(1), 55–68 (Hebrew).
Katz, R., Daatland, S. O., Lowenstein, A., Mazo, M. T., Ancizu, I., & Herlofson, K. (2003). Family Norms and Preferences in Intergenerational Relations. In V. L. Bengtson & A. Lowenstein (Eds.), Global aging and its challenge to families (pp. 305–326). New York: de Gruyter.
Katz, R., Gur-Yaish, N., & Lowenstein, A. (2010). Motivation to provide help to older parents in Norway, Spain and Israel. International Journal of Aging & Human Development, 71(4), 283–303.
Kinsella, K. (2000). Demographic dimensions of global aging. Journal of family issues, 21(5), 541–558.
Künemund, H., & Rein, M. (1999). There is more to receiving than needing: theoretical arguments and empirical exploration of crowding in and crowding out. Ageing and Society, 19, 93–121.
Lee, G. R., Peek, C. W., & Coward, R. T. (1998). Race differences in filial responsibility expectations among older parents. Journal of Marriage and the Family, 60, 404–412.
Litwak, E. (1985). Helping the elderly: The complementary roles of informal networks and formal systems. New York: Guilford Press.
Litwak, E., Silverstein, M., Bengtson, V. L., & Hirst, Y. W. (2003). Theories about families, organizations, and social supports. In V. L. Bengtson & A. Lowenstein (Eds.), Global aging and challenges to families (pp. 27–53). New York: Aldine de Gruyter.
Lowenstein, A. (2007). Solidarity-conflict and ambivalence: testing two conceptual frameworks and their impact on quality of life for older family members. Journal of Gerontology: Social Sciences, 62B(2), S100–S107.
Lowenstein, A., Katz, R., Melhausen-Hassoen, D., & Prilutzky, D. (2002). The research instruments in the OASIS Project Old Age and Autonomy. University of Haifa: The Center for Research and Study of Ageing
Lowenstein, A., Katz, R., Phillips, J., & Bazo, M.-T. (2003). Social Policy Implications. In A. Lowenstein & J. Ogg (Eds.), OASIS – Old Age and Autonomy: The role of service systems and intergenerational family solidarity (Final report, pp. 309–322). Haifa, Israel: University of Haifa.
Lowenstein, A., & Ogg, J. (eds.) (2003). OASIS – Old Age and Autonomy: The role of service systems and intergenerational family solidarity. Final report. University of Haifa, Haifa, Israel. [Available at http://www.dza.de/forschung/oasis_report.pdf]
Lowenstein, A., & Daatland, S. O. (2006). Filial norms and family support in a comparative cross-national context: evidence from the OASIS study. Ageing and Society, 26, 203–223.
Lowenstein, A., & Katz, R. (2010). Family and age in global perspectives. In C. Phillipson & D. Dannefer (Eds.), Handbook of social gerontology (pp. 190–201). London: Sage Publications.
Lowenstein, A., Katz, R., & Gur-Yaish, N. (2008). Cross national variations in elder care: Antecedents and outcomes. In M. E. Szinovacz & A. Davey (Eds.), Caregiving contexts (pp. 93–114). New York: Springer.
Lowenstein, A., Katz, R., & Biggs, S. (2011). Rethinking theoretical and methodological issues in intergenerational family relations research. Ageing and Society, 31, 1–7.
Motel-Klingebiel, A., Tesch-Römer, C., & von Kondratowitz, H.-J. (2003). The Quantitative Survey. In A. Lowenstein & J. Ogg (Eds.), OASIS – Old Age and Autonomy: The role of service systems and intergenerational family solidarity (Final report, pp. 63–101). Haifa, Israel: University of Haifa.
Motel-Klingebiel, A., Tesch-Romer, C., & von Kondratowitz, H.-J. (2005). Welfare states do not crowd out the family: evidence for mixed responsibility from comparative analysis. Ageing and Society, 25, 863–882.
Paslack, K. A. (2007). 10 Jahre Pflegeversicherung und ambulante pflegerische Versorgung 1995–2005: Entwicklung und Perspektiven. (10 years Long-Term Care). Marburg: Tectum Verlag
Schneekloth, U., & Müller, U. (2000). Wirkungen der Pflegeversicherung: Forschungsprojekt im Auftrag des Bundesministeriums für Gesundheit. (Effects of the “Pflegeversicherung”/LTCI) Baden-Baden: Nomos-Verlag
Schneider, T., Drobnič, S., & Blossfeld, H.-P. (2001). Pflegebedürftige Personen im Haushalt und das Erwerbsverhalten verheirateter Frauen. (Home Care of the Elderly and the Employment Behavior of Married Women). Zeitschrift für Soziologie, 30(5), 362–383.
Ware, J. E., & Sherbourne, C. D. (1992). The MOS 36-item short-form health survey (SF-36). Medical Care, 30(6), 473–483.
WHO World Health Organization (2002). Active ageing: A policy framework. Geneve, WHO.
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Lottmann, R., Lowenstein, A. & Katz, R. A German-Israeli Comparison of Informal and Formal Service Use Among Aged 75+. J Cross Cult Gerontol 28, 121–136 (2013). https://doi.org/10.1007/s10823-013-9188-3
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DOI: https://doi.org/10.1007/s10823-013-9188-3